
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<link href="../css/admin.css" rel="stylesheet" type="text/css" />
<title></title>
</head>
<body>


<form action="p_supplier.php" method="post" encsupplier="multipart/form-data" name="form1">
<table width="95%" border="0" align="center">
  <tr> 
    <td align="right">&nbsp; </td>
  </tr>
  <tr> 
    <td><table width="75%">
          <tr> 
            <td >Name :</td>
            <td><input name=name type=text class=text style="width:195px"></td>
          </tr>
          <tr> 
            <td >Address :</td>
            <td><input name=address type=text class=text id=CName style="width:195px"></td>
          </tr>
          <tr> 
            <td >Street :</td>
            <td><input type=text class=text name=street style="width:195px"></td>
          </tr>
          <tr> 
            <td >City :</td>
            <td><input type=text class=text name=city style="width:195px"></td>
          </tr>
          <tr> 
            <td >State/Province :</td>
            <td><input type=text class=text name=state style="width:195px"></td>
          </tr>
          <tr> 
            <td >Zip/Postal Code :</td>
            <td><input type=text class=text name=zip style="width:195px"></td>
          </tr>
          <tr> 
            <td >Country/Region :</td>
            <td><input type=text class=text name=country style="width:195px"></td>
          </tr>
          <tr> 
            <td >Telephone :</td>
            <td><input type=text class=text name=telephone style="width:195px"></td>
          </tr>
          <tr> 
            <td >Email :</td>
            <td><input type=text class=text name=email style="width:195px"></td>
          </tr>
          <tr> 
            <td >Fax :</td>
            <td><input type=text class=text name=fax style="width:195px"></td>
          </tr>
          <tr> 
            <td >Contact Person :</td>
            <td><input type=text class=text name=person style="width:195px"></td>
          </tr>
		  
		  
<tr>
                      <td  class=tdheader>Banking Information:</td>
                      <td >&nbsp;</td>
                    </tr>
                    <tr>
                      <td >Bank :</td>
                      <td ><input class=text name=bank type=text id=bank style="width:195px"></td>
                    </tr>
                    <tr>
                      <td >Registration no. :</td>
                      <td ><input class=text name=registration type=text id=registration style="width:195px"></td>
                    </tr>
                    <tr>
                      <td >Account no. :</td>
                      <td ><input class=text name=account type="text" id="account" style="width:195px"></td>
                    </tr>
                    <tr>
                      <td >IBAN code :</td>
                      <td ><input class="text" name="iban" type="text" id="iban" style="width:195px"></td>
                    </tr>
                    <tr>
                      <td >SWIFT code :</td>
                      <td ><input class="text" name="swift" type="text" id="swift" style="width:195px"></td>
                    </tr>		  
		  
		  
          <tr>
            <td>&nbsp;</td><input type="hidden" name="action" value="add">
            <td><input name="image" type="image" onClick="Redirect('p_supplier.php',1);return false;" src="../images/admin/bt_cancel.gif"> 
              <input name="image" type="image"src="../images/admin/bt_save.gif"></td>
          </tr>
        </table>
	</td>
  </tr>
</table>
</form>


</body>
</html>
